Director, Quality and Risk Management - Option Care

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.

As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as diverse as the patients and communities we serve.
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.

Job Description Summary:

The Director, Quality and Risk Management shall have oversight responsibility of all programs related to accreditation, patient safety, quality monitoring, performance improvement, patient/payer/referral source satisfaction, emergency preparedness, identification, and management of potential and actual risks. This individual shall have oversight responsibility for insuring policies and procedures meet all requirements of relevant accreditation organizations, regulatory agencies and applicable standards of care. Performs related duties as required. Collaborates, coordinates, and communicates with departments across the organization with emphasis on integrating Quality Improvement and safety processes as appropriate. The Director, Quality and Risk Management reports to the VP, Quality & Risk Management.

Job Description: ​

Job Responsibilities (listed in order of importance and/or time spent)

• Provides leadership, oversight and support for the organizational-wide Quality Management Programs, including patient safety, risk management, performance improvement, patient/payer/referral source satisfaction, emergency preparedness and emergency response.   
• Ensures ongoing education and communication to Quality & Clinical Services leaders, other department leaders, and staff related to accreditation and regulatory requirements, methods and tools to reduce risks and promote ongoing quality management throughout the organization
• Oversees the development, review, revision and implementation of policies and procedures to ensure compliance with accreditation standards, regulatory agencies, and applicable standards of care, risk management and quality management.
• Oversees the development, data collection and reporting of uniform and integrated measurement systems that support the Quality Management Program.
• Oversees correspondence with accrediting organizations and regulatory agencies as appropriate.
• Oversees the development and ongoing performance measurement, assessment and improvement of patient care processes and collaborates with the Quality and Clinical Services leaders to identify process and outcome indicators that effectively measure the quality of patient care services and reflect organizational performance.
• Mon/itors the effectiveness of information systems and data management processes supporting the measurement and assessment of event reporting, patient satisfaction, and continuous quality improvement.
• Monitors organizational outcomes against external comparative databases, evidence-based resources, and industry best demonstrated practice and guides organizational leadership in standards and methodologies to assure the delivery of quality patient care services.
• Oversees the effective implementation of the organization wide Quality Management Program, including an annual review of the effectiveness of the Program.
• Oversees an organization wide risk management program to assure the integration of risk management activities into ongoing organizational quality management activities.
• Oversees organizational activities related to patient safety and, error reduction.
• Oversees activities to assure compliance with and maintenance of operational readiness for accrediting organization and regulatory authority inspections or surveys
• Oversees risk management activities, including review of trends, assessment of potential risks, review of actual events, completion of root cause analysis and corrective action plans as appropriate.
• Oversees collaboration with legal team in assessment of cases, medical records production, coordination with outside counsel and production of policies/procedures.
• Oversees support for fiduciary Risk Management team related to communications and presentations to insurance company and response to requests for information.
• Oversees quality and risk training for new hires and other training needs.

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

No        

Yes - X       

Basic Education and/or Experience Requirements

• A licensed clinician with minimum of 5 years of experience in quality, safety or risk management activities.
• A minimum of 7-10 years of experience in a management role in a healthcare related field, including program development and supervision of a team.
• A minimum of 5 years of leadership experience with oversight of specific programs such as risk management, performance improvement, patient safety, or clinical management programs.
• Participation in at least one successful healthcare related accreditation cycle.
• Familiarity with ACHC and other infusion or specialty pharmacy and applicable regulatory agency standards.

Basic Qualifications

• Excellent verbal and written communication skills.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
• Ability to use spreadsheets, do budget planning, use databases, track and trend network defined data. 
• Ability to build and lead a team of employees to develop and achieve specific goals

Travel Requirements:  (if required)

• Willing to travel up to 20% of the time for business purposes (within state and out of state).

Preferred Qualifications & Interests (PQIs)

• Participation in professional organizations related to healthcare, risk management or quality management.

Due to some state pay transparency laws, below is the minimum pay for the position:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Minimum pay is $139,536.79+

Benefits:

-401k

-Dental Insurance

-Disability Insurance

-Health Insurance

-Life Insurance

-Paid Time off

-Vision Insurance

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

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